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妊娠期宫颈细胞学异常在产后转阴率高,极少进展为浸润癌。多数指南建议,除怀疑宫颈浸润癌者外均可以随诊,待产后6周再复查。怀疑宫颈浸润癌者最好在孕20周前进行宫颈诊断性切除。妊娠期宫颈上皮内瘤变进展与否与分娩方式无关,应根据产科指征决定分娩方式。妊娠期宫颈细胞学异常在产后复查或治疗后恢复正常者,仍属高危人群,需要与非妊娠期患者一样严密随访。
Abstract：High rate of spontaneous regression is noted after diagnosis of abnormal cervical cytology in antepartum.The progression of cervical intraepithelial lesion to invasive cancer during pregnancy is rare.Most guidelines recommend that further evaluation is appropriate at 6weeks after delivery unless the invasive disease is suspected.A diagnostic cervical excision procedure is recommended only if invasive cancer is suspected during pregnancy.Cervical conization can be performed safely before 20 weeks' gestation.The progress of cervical intraepithelial neoplasia during pregnancy has not shown any correlation with the mode of delivery,which should be determined by the obstetric indications.The postpartum reevaluation is necessary even their results return to normal spontaneously or after treatment.They still belong to the high risk population and should be closely follow-up,as same as that in nonpregnant patients.
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基本信息:
中图分类号:R737.33
引用信息:
[1]李敏.妊娠期宫颈细胞学异常的处理[J].生殖医学杂志,2014,23(07):524-527.
2014-07-15
2014-07-15